Viso kūno vibracinio treniravimo poveikis vaikų kojų venų savybėms

Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Siwiec, Małgorzata Domagalska-Szopa

 

Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Siwiec, Małgorzata Domagalska-Szopa – Effect of whole-body vibration training on leg venous properties in children –  Fizjoterapia Polska 2024; 24(3); 202-209

DOI: https://doi.org/10.56984/8ZG020AHL1

Santrauka:
Įvadas. Tyrimo tikslas buvo įvertinti viso kūno vibracinio treniravimo (WBV) poveikį vaikų, sergančių cerebriniu paralyžiumi (CP), kojų venų kraujotakai.
Medžiaga ir metodai. Tyrimas buvo atliktas su 13 vaikų, sergančių CP, kurių amžius buvo 7-11 metų. Kontrolinėje grupėje buvo 13 sveikų bendraamžių. Visiems tiriamiesiems buvo atlikta abiejų kojų šlaunies ir pakinklio venų Doplerio ultragarsinė analizė. Buvo gauti šie parametrai: 1) šlaunies venos kraujo tekėjimo greitis, 2) pakinklio venos kraujo tekėjimo greitis. Vaikams, sergantiems CP, tyrimas buvo pakartotas po dviejų savaičių terapijos, naudojant WBV.
Rezultatai. Rezultatai rodo, kad vaikų, sergančių CP, venų kraujotaka kojose gali būti prastesnės kokybės nei sveikų bendraamžių. Be to, tyrimai patvirtina, kad WBV mažina CP vaikų spazmiškumą. WBV pagerina periferinių venų kraujotakos parametrus vaikų, sergančių CP, kojose.
Išvados. Norint visiškai įvertinti WBV poveikį CP sergančių vaikų kojų venų kraujotakai, reikės išplėsti tyrimo grupę, įtraukiant CP vaikus, turinčius įvairius funkcinio lygio sutrikimus (GMFCS I-V) ir skirtingus kojų raumenų spazmiškumo laipsnius.

Raktažodžiai:
cerebrinis paralyžius, viso kūno vibracija, Doplerio ultragarsas, venų kraujotaka, kojos

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The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°

Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa


Andrzej Siwiec, Małgorzata Domagalska-Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Szopa – The direction of primary lateral spinal curvature and distribution of body mass on base of support in children with scoliosis I°. Fizjoterapia Polska 2022; 22(4); 112-121

DOI: https://doi.org/10.56984/8ZG1A6z2j

Abstract
Introduction. As a result of subjective functional assessment, disturbances in the symmetry of body weight distribution on the support plane are commonly observed in children and adolescents with idiopathic scoliosis. The objective of this study was to identify the relationship between the direction of the primary curvature and the body weight distribution on the ground in children with idiopathic scoliosis.
Method. Two groups (the study group and the control group) of children aged 7–11 were included in the study. The study group consisted of 96 children rehabilitated due to scoliosis in rehabilitation centres. The control group included children of the corresponding age, height and weight in comparison to the study group. The main element of the study involved measurements of the percentage body weight distribution on the support plane between the “convex” and “concave” side of the body while maintaining a standing position on both legs.
Results. Based on the value of the symmetry index and the direction of the primary curvature, the following subgroups were distinguished among the children with scoliosis: children with symmetrical body weight distribution on the support plane (21%); children with asymmetric body weight distribution on the support plane overloading the convex side (51%) and children overloading the concave side (28%).
Conclusion. The occurrence of symmetry disorders in the body weight distribution on the support plane in children with idiopathic scoliosis requires taking these features into account in the early stage of rehabilitation of these children.

Key words:
scoliosis, compensating postural patterns, distribution of body mass on the surface

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Body composition and spasticity in children with bilateral cerebral palsy

Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa


Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa – Body composition and spasticity in children with bilateral cerebral palsy. Fizjoterapia Polska 2022; 22(2); 174-185

Abstract
Objective. The objective of this study was to identify the correlation between body composition of children with cerebral palsy and the degree of spasticity in the muscles of the lower limbs.
Material and methods. The study included a group of 59 independently walking children aged 8 to 16 with spastic diplegia. The control group included 59 children without central movement disorders – students at Primary School No. 25 in Sosnowiec. The research included: 1) assessment of body composition and its components using the TANITA MC-780 S MA scale; 2) assessment of the degree of spasticity according to the modified Ashworth scale; 3) calculations of BMI indices in accordance with the recommendations of the World Health Organization (WHO) and BMI OLAF developed by the Children’s Memorial Health Institute in Warsaw.
Results. The most severe spasticity, both in the right and left lower limbs, was observed in the extensors of the ankle joint. In turn, the mildest spasticity was observed in the group of flexors of the knee joint of the right and left lower limbs. The greater the degree of spasticity in the muscles of the lower limbs, the greater the deficit in fat-free mass and muscle mass in the lower limbs.
Conclusions. Children with CP have deficits in terms of muscle mass. The deficit of muscle tissue depends on the degree of spasticity of the proximal muscle groups of the lower limbs.
Key words:
body composition, spasticity, cerebral palsy
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